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Business Analyst

Location:
Purcellville, VA
Posted:
July 18, 2018

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Resume:

PROFESIONAL SUMMARY

Dedicated, creative, innovative, detail-oriented, and result driven individual with four plus years of experience in business analysis, reimbursement, patient assistance, health wealth programs, and documentation. 2+ years of client facing experience in CRO (Clinical Research Organization). Experience working with customers, business partners, teams, patients, payers, and external vendor. Self-motivated and a quick learner who can understand business needs and translate them into actionable requirements. Excellent written and oral communication skills with a very positive attitude.

HIGHTLIGHTS

Customer Service, Relationship Management, and Vendor Management

Communication and Presentation Skills (Written and Oral)

Requirement Analysis, Technical Writing, Performance Analysis and Problem Solving Skills

Experience in working with payers to find coverages and assessment of coverages

Microsoft Office Suite, SharePoint, and ability to learn new technologies and methodologies

Analytical Skills to interpret data – Excel worksheets, pivot tables, charts, conditional formatting, and quick analysis

SPCEIALIZED SKILLS/TRAINING:

Health Care: Understanding and working knowledge of health related areas such as Payers, Medicare, Medicaid, Providers, and Patients. Data analysis and data entry in CRM system.

Business Analysis: Experience with technical writing (user requirements, user guides, testing documents). Analytical thinker can assess the situation through multiple perspectives and gather information needed to arrive at the solution to the problem.

Communication Skills: Outstanding communication skills with attention to details. Ability to communicate effectively both on the phone and in person with customer. Strong business writing skills.

Technical Skills: Proficient in Microsoft Office application including Excel spreadsheets pivot table, charts, Visio, Word, Publisher, PowerPoint, and Outlook. O365, One Drive, Exchange collaboration and cloud file sync features, SharePoint, and other Office 365 features. Ability to learn off the shelf software quickly (Learned Salesforce CRM application and custom CRM application).

Ability to research on issues, find solutions and recommend enhancement to management and technical teams

Quick learner, dependable, and a team player who can multi task and set priorities; can adapt to change with ease

Client focused approach to work with ability to interact professionally with team members, management, and clients

Ability to manage multiple competing tasks/priorities simultaneously

PROFESSIONAL EXPERIENCE:

HEAD OF BUSINESS ANALYTICS AT ORBCOMM, STERLING VA DECEMBER 2017 – PRESENT

Gather, analyze, and document business and functional requirements from clients and business users.

Put presentation and process flows for project flows and process flows.

Troubleshooting technical problems with tracking equipment and/or data base backend.

Helped organize invoices for employee travel and reimbursement.

Created and managed Vendor Scorecard to organize a myriad of clients and invoices due per month (divided into quarters and also total per vendor)

Organized and consolidated monthly data to create Monthly Operation Reviews for entire management team to review

Created and assisted with training protocol for new trainees

Provisioned 100’s documents for program eligibility in multiple program system (Client specific backend)

FOUNDATION SPECIALIST AT WRB COMMUNICATION, CHANTILLY VA JUNE 2016 – MAY-2017

Review program enrollment application and determent eligibility

Assist in analyzing patient and provider requirements for service

Work with payers including Medicaid and Medicare to asses patient coverages

Researching the requests and come up with solution and resolutions for the patient and provider

Convey information clearly and accurately through oral and written communications

Demonstrates a thorough understanding of regulations, policies, and procedures in the areas of assigned responsibilities

Train and provide assistance to other staff as needed

Write daily and weekly status reports on productivity and suggest process improvement

Help in troubleshooting computer and application related issues

Write technical process documents and user guides

PATIENT ACCESS SPECIALIST AT PAREXEL, CENTREVILLE, VA JUNE 2015 - MARCH 2016

Processed high volume of applications to determine eligibility into programs (Medicare, Medicaid and other insurance eligibility research)

Approving application and refilling medications for patients, based on program guidelines

Training new employees on system and processes

Analyze current system, gaps, and enhancement needed for new programs and work with the IT department to put requirement document and work plans

Given sole responsibility to handle medical records for distribution for patients

Help employees solve their PC and technical issues

Help with Data Entry, data analysis and reporting to management

Used PAREXEL LMS system for training and certification required for the job

Wrote system requirements and testing documents

TELLER AT CAPITAL ONE BANK, CHANTILLY, VA MARCH 2013 - JUNE 2014

Cross-sell bank products/services; open new accounts

Supervise staff of 10 employees in the banking Center

Official items issuance and signing authority of $250,000.00.

Ensure that internal controls and procedures are performed properly by conducting Banking Center Internal Control Review (BCICR). Monthly audits included teller surprise cash counts, Safety deposit boxes, official items, instant issue cards, new accounts, wire transfers and all BCICR log assignments.

Prepare staff schedules monthly using click to staff system.

Train and couch new and existing tellers.

REIMBURSEMENT/PATIENT ACCESS ANALYST AT PAREXEL, CENTREVILLE, VA JUNE 2010 - JANUARY 2013

Approving application and refilling medications for patients, based on program guidelines

Calling payers to verify benefits, coverage, prior authorization and appeal process

Entered Patient, Physicians, Payer, Coverage Verification, Prior Authorization, and Appeal data into system

Helped employees solver their PC and technical issues

Worked on Data Entry, data analysis and provided reports to management

Wrote System requirements and testing documents and helped in system testing

Used PAREXEL Learning Management System (LMS) for training and certifications

EDUCATION

Bachelors of Science, Psychology, George Mason University, Fairfax, VA, May 15, 2015

Associates Degree, Social Science BS with a specialization in Psychology, Northern Virginia Community College, June 2012

ACTIVITIES & HOBBIES

Help start and raise money for NOVA charity club (HEART TO HEART). Club was dedicated to help raise awareness and money for women and children that been in abusive homes and/or relationships. The organization we funded is known as BARN. Member from October 2010- May 2012.

Participated in Basketball in various levels from November 2000 to June 2009

Historian of America’s Forgotten Children (AFC) from December 2008 through June 2009

Member of Students Against Destructive Decisions (SADD) from December 2007 through June 2009

Aided HOPE Club activities such as: Special Athletes Day and HOPE prom. April 2009 and March 2010

AWARDS & CERTIFICATIONS

Help start and raise money for NOVA charity club (HEART TO HEART). Club was dedicated to help raise awareness and money for women and children that been in abusive homes and/or relationships. The organization we funded is known as BARN. Member from October 2010- May 2012.



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